EP2429412B1 - Agrafe rotative - Google Patents

Agrafe rotative Download PDF

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Publication number
EP2429412B1
EP2429412B1 EP10714790.2A EP10714790A EP2429412B1 EP 2429412 B1 EP2429412 B1 EP 2429412B1 EP 10714790 A EP10714790 A EP 10714790A EP 2429412 B1 EP2429412 B1 EP 2429412B1
Authority
EP
European Patent Office
Prior art keywords
straight portions
tack
rotary tack
arcuate
arcuate portion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Not-in-force
Application number
EP10714790.2A
Other languages
German (de)
English (en)
Other versions
EP2429412A1 (fr
Inventor
Ofer Rimer
Nir Altman
Shalom Levin
Asaf Levin
Izhak Fabian
Arik Cohen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Easylap Ltd
Original Assignee
Easylap Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Easylap Ltd filed Critical Easylap Ltd
Priority to SI201030915T priority Critical patent/SI2429412T1/sl
Priority to PL10714790T priority patent/PL2429412T3/pl
Publication of EP2429412A1 publication Critical patent/EP2429412A1/fr
Application granted granted Critical
Publication of EP2429412B1 publication Critical patent/EP2429412B1/fr
Priority to HRP20150405TT priority patent/HRP20150405T1/hr
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A61B2017/06171—Sutures helically or spirally coiled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0646—Surgical staples, i.e. penetrating the tissue for insertion into cartillege, e.g. meniscus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0091—Three-dimensional shapes helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Definitions

  • the present invention relates generally to rotary tacks, such as those used for hernia repairs and the like in laparoscopic and endoscopic procedures.
  • Tacks or other tissue fasteners made of resorbable or biodegradable materials are well known.
  • US Patents 4884572 and 4895148 to Bays et al. describe repair tacks of biodegradable material chosen to have a degradation time in excess of the required healing time for the tissue.
  • EP 0 663 184 A1 and WO 00/69345 disclose a tack according to the preamble of claim 1.
  • WO 2008/010948 A2 discloses a surgical fastener having a barrel-shaped body comprising a throughbore and including a helical thread.
  • the present invention provides a rotary tack according to appended claims 1.
  • the inner perimeter includes two straight portions that subtend an angle corresponding to two sides of a regular polygon and a single arcuate portion that extending from end points of the two straight portions.
  • the regular polygon may be a pentagon.
  • the arcuate portion and the straight portion are joined by a rounded corner.
  • the arcuate portion and the straight portions are joined by rounded corners and the two straight portions are joined by a rounded corner.
  • an upper surface of the helix proximate the tip includes one or more steps.
  • FIGs. 1A-1D illustrate a rotary tack 10, which is an example not in accordance with the present invention.
  • the tacks of the present invention are constructed of a resorbable material.
  • the tacks may be constructed, without limitation, from a biodegradable polymer or copolymer of a type selected in accordance with the desired degradation time. That time, in turn, depends upon the anticipated healing time for the cartilaginous or other tissue which is the subject of the surgical procedure.
  • Known biodegradable polymers and copolymers range in degradation time from about three months for polyglycolide to about forty-eight months for polyglutmic-co-leucine.
  • a common biodegradable polymer used in absorbable sutures and the like is poly(L-lactide) which has a degradation time of about twelve to eighteen months.
  • the tacks may be constructed from an absorbable copolymer derived from glycolic and lactic acids, such as a synthetic polyester chemically similar to other commercial available glycolide and lactide copolymers. Glycolide and lactide, in vivo, degrade and absorb by hydrolysis into lactic acid and glycolic acid which are then metabolized by the body.
  • Tack 10 includes a helical body 12 having a closed-loop base 14 and a helix of spiral coils 16 that extend from base 14 and which terminate in a tip 18 for piercing tissue (not shown).
  • each of the coils 16 has a cross-section with an inner perimeter including at least one arcuate portion 20 and at least one straight portion 22 contiguous to each other.
  • the base is open, that is, the lowermost coil is not a continuous closed coil or loop.
  • base 14 is closed. This geometry provides tack 10 with superior strength, especially important for use with the resorbable material.
  • the inner perimeter includes two straight portions 22 that subtend an angle corresponding to two sides of a regular polygon and a single arcuate portion 20 that extending from end points of the two straight portions 22.
  • the regular polygon may be a pentagon, wherein the subtended angle is 72°.
  • the arcuate portion 20 and the straight portions 22 may be joined by a rounded corner.
  • the arcuate portion 20 and the straight portions 22 are joined by rounded corners 24 and the two straight portions are joined by a rounded corner 26.
  • the inner perimeter comprises the drive section of tack 10, that is, the tack is placed on a complementary shaped drive shaft (not shown) which turns the tack in order to screw it into tissue (not shown).
  • the tip 18 has a sharp edge at a wide angle W aimed upwards relative to the helix.
  • Angle W is much greater than the helix angle of the coils.
  • an upper surface of the helix proximate tip 18 includes one or more steps 28 (this option not shown in Fig. 1A ). Steps 28 may help prevent opening of the helix when pulling forces are applied to the tack 10.
  • FIG. 2A-2C illustrate a rotary tack 30, constructed and operative in accordance with an embodiment of the present invention.
  • Tack 30 includes a helical body 32 having a closed-loop base 34 and a helix of spiral coils 36 that extend from base 34 and which terminate in a tip 38 for piercing tissue (not shown). As seen in Figs. 2B and 2C , each of the coils 36 has a cross-section with an inner perimeter including at least one arcuate portion and at least one straight portion contiguous to each other.
  • the arcuate portion includes arcuate spline grooves 40 and the straight portion includes radial straight portions 42 that connect one groove 40 to another.
  • each of the arcuate spline grooves 40 have a starting point 44 and an end point 46, wherein the starting point 44 starts at a smaller radius than the end point 46.
  • Each of the radial straight portions 42 connects the starting point 44 of one groove 40 to the end point 46 of an adjacent groove 40.
  • the arcuate portions and the straight portions may be joined by rounded corners.
  • the inner perimeter comprises the drive section of tack 30, that is, the tack is placed on a complementary shaped drive shaft 48 ( Fig. 2A ) which turns the tack in order to screw it into tissue (not shown).
  • Tack 30 may also have the steps formed on the upper surface thereof.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicines Containing Plant Substances (AREA)

Claims (6)

  1. Agrafe rotative (10) comprenant :
    un corps hélicoïdal (12) constitué d'un matériau résorbable et possédant une base en boucle fermée (14) et une hélice d'enroulements en spirale (16) qui s'étendent à partir de ladite base (14), qui se termine en une pointe (18) pour transpercer un tissu, dans lequel chacun desdits enroulements (16) possède une section transversale dont le périmètre interne comprend une portion arquée (20) et une portion droite (22) réciproquement contiguës ;
    caractérisé en ce que ladite portion arquée (20) comprend des rainures arquées (40) en forme de cannelures et ladite portion droite comprend des portions droites radiales (42) qui relient une rainure à l'autre, et chacune desdites rainures arquées (40) en forme de cannelures possède un point de départ (44) et un point final (46), le point de départ (44) démarrant à un rayon inférieur à celui du point final (46), et chacune desdites portions droites radiales (42) reliant le point de départ (44) d'une rainure au point final (46) d'une rainure adjacente.
  2. Agrafe rotative (10) selon la revendication 1, dans lequel ledit périmètre interne comprend deux portions droites (22) qui sous-tendent un angle correspondant à deux côtés d'un polygone régulier et une portion arquée unique (20) qui s'étend à partir des points terminaux des deux portions droites (22).
  3. Agrafe rotative (10) selon la revendication 2, dans lequel ledit polygone régulier est un pentagone.
  4. Agrafe rotative (10) selon la revendication 1, dans lequel ladite portion arquée (20) et ladite portion droite (22) sont jointes par un coin arrondi.
  5. Agrafe rotative (10) selon la revendication 2, dans lequel ladite portion arquée (20) et lesdites portions droites (22) sont jointes par des coins arrondis (24) et les deux portions droites (22) sont jointes par un coin arrondi (26).
  6. Agrafe rotative (10) selon la revendication 1, dans lequel une surface supérieure de ladite hélice à proximité de ladite pointe (18) comprend une ou plusieurs étapes (28).
EP10714790.2A 2009-04-22 2010-04-15 Agrafe rotative Not-in-force EP2429412B1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
SI201030915T SI2429412T1 (sl) 2009-04-22 2010-04-15 Rotacijsko pritrdilo
PL10714790T PL2429412T3 (pl) 2009-04-22 2010-04-15 Zszywka obrotowa
HRP20150405TT HRP20150405T1 (hr) 2009-04-22 2015-04-13 Rotacijska vodilica

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/427,780 US20100274266A1 (en) 2009-04-22 2009-04-22 Rotary tack
PCT/US2010/031136 WO2010123740A1 (fr) 2009-04-22 2010-04-15 Agrafe rotative

Publications (2)

Publication Number Publication Date
EP2429412A1 EP2429412A1 (fr) 2012-03-21
EP2429412B1 true EP2429412B1 (fr) 2015-01-28

Family

ID=42269673

Family Applications (1)

Application Number Title Priority Date Filing Date
EP10714790.2A Not-in-force EP2429412B1 (fr) 2009-04-22 2010-04-15 Agrafe rotative

Country Status (18)

Country Link
US (1) US20100274266A1 (fr)
EP (1) EP2429412B1 (fr)
JP (1) JP5607144B2 (fr)
KR (1) KR101758850B1 (fr)
CN (1) CN102458265B (fr)
AU (1) AU2010239496B2 (fr)
BR (1) BRPI1011841A2 (fr)
CA (1) CA2758963C (fr)
DK (1) DK2429412T3 (fr)
ES (1) ES2535328T3 (fr)
HR (1) HRP20150405T1 (fr)
HU (1) HUE025215T2 (fr)
MX (1) MX2011011003A (fr)
PL (1) PL2429412T3 (fr)
PT (1) PT2429412E (fr)
RU (1) RU2525011C2 (fr)
SI (1) SI2429412T1 (fr)
WO (1) WO2010123740A1 (fr)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9017352B2 (en) * 2012-10-12 2015-04-28 Cook Medical Technologies Llc Helical fibrin removal tool
US9445814B2 (en) 2013-11-08 2016-09-20 C.R. Bard, Inc. Surgical fastener
US10368870B2 (en) 2013-11-08 2019-08-06 C.R. Bard, Inc. Surgical fastener
US9675353B2 (en) 2013-11-08 2017-06-13 C.R. Bard, Inc. Surgical fasteners and associated deployment devices
US9615830B2 (en) 2013-11-08 2017-04-11 C.R. Bard, Inc. Surgical fastener
US10285697B2 (en) 2013-11-08 2019-05-14 C.R. Bard, Inc. Methods and apparatus for surgical fastening
US10028733B2 (en) 2015-05-28 2018-07-24 National University Of Ireland, Galway Fistula treatment device
US11701096B2 (en) 2015-05-28 2023-07-18 National University Of Ireland, Galway Fistula treatment device
JP6965249B2 (ja) 2016-01-13 2021-11-10 シャープ フリューディクス エルエルシー 固定デバイス送達システム
WO2018224687A1 (fr) 2017-06-09 2018-12-13 Signum Surgical Limited Implant pour fermer une ouverture dans un tissu
DE102018100478A1 (de) * 2018-01-10 2019-07-11 Böllhoff Verbindungstechnik GmbH Schraube für eine Schraubverbindung mit einem Bauteil

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000069345A1 (fr) * 1999-05-14 2000-11-23 C.R. Bard, Inc. Systemes de fixation d'implant
WO2008038276A2 (fr) * 2006-09-25 2008-04-03 Corassist Cardiovascular Ltd. Procédé et système permettant d'améliorer la fonction diastolique du coeur

Family Cites Families (10)

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Publication number Priority date Publication date Assignee Title
AU1011595A (en) * 1994-01-13 1995-07-20 Ethicon Inc. Spiral surgical tack
AU689846B2 (en) * 1994-03-29 1998-04-09 Zimmer Gmbh Screw made of biodegradable material for bone surgery purposes, and screwdriver suitable therefor
US5582616A (en) * 1994-08-05 1996-12-10 Origin Medsystems, Inc. Surgical helical fastener with applicator
WO2003034925A2 (fr) * 2001-10-23 2003-05-01 Tyco Healthcare Group Lp Fixations chirurgicales
WO2003045283A1 (fr) * 2001-11-28 2003-06-05 Aptus Endosystems, Inc. Systeme de reparation endovasculaire d'un anevrisme
GB2417208B (en) * 2001-11-28 2006-06-28 Aptus Endosystems Inc Intraluminal prosthesis attachment systems
RU2283630C2 (ru) * 2001-12-24 2006-09-20 Синтез Аг Чур Устройство для остеосинтеза
CA2527778C (fr) * 2003-06-13 2011-11-08 Tyco Healthcare Group Lp Raccord a elements multiples pour instrument chirurgical et vis resorbable
WO2008010948A2 (fr) * 2006-07-18 2008-01-24 Davol Inc. Procédé et appareil de vissage chirurgical
RU2415653C2 (ru) * 2009-07-07 2011-04-10 Андрей Евгеньевич Новиков Способ анкерной фиксации костных фрагментов с наложением струны и анкер

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000069345A1 (fr) * 1999-05-14 2000-11-23 C.R. Bard, Inc. Systemes de fixation d'implant
WO2008038276A2 (fr) * 2006-09-25 2008-04-03 Corassist Cardiovascular Ltd. Procédé et système permettant d'améliorer la fonction diastolique du coeur

Also Published As

Publication number Publication date
MX2011011003A (es) 2012-03-29
CA2758963C (fr) 2015-11-24
JP5607144B2 (ja) 2014-10-15
PL2429412T3 (pl) 2015-06-30
HUE025215T2 (en) 2016-03-29
WO2010123740A1 (fr) 2010-10-28
KR101758850B1 (ko) 2017-07-17
CN102458265A (zh) 2012-05-16
JP2012524613A (ja) 2012-10-18
BRPI1011841A2 (pt) 2016-03-15
KR20120026503A (ko) 2012-03-19
AU2010239496B2 (en) 2015-02-19
DK2429412T3 (en) 2015-05-04
CN102458265B (zh) 2015-11-25
PT2429412E (pt) 2015-05-22
RU2525011C2 (ru) 2014-08-10
ES2535328T3 (es) 2015-05-08
EP2429412A1 (fr) 2012-03-21
US20100274266A1 (en) 2010-10-28
SI2429412T1 (sl) 2015-06-30
CA2758963A1 (fr) 2010-10-28
RU2011146254A (ru) 2013-05-27
AU2010239496A1 (en) 2011-12-08
HRP20150405T1 (hr) 2015-06-05

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